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Kalahandi Family Planning Plan 2011 12 DRAFT 2011 -12 District Family Planning Plan District: KALAHANDI District Family Welfare Bureau Zilla Swasthya Samiti KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011 -12 1 KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 2 KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 3 Table of Contents Chapter Topics Chapter – 1 Background Chapter – 2 Situational Analyses a. Contraceptive Use b. Service Delivery c. Quality Assurance Mechanism d. Logistic and Supply System e. Human Resource Development f. Communication Activities g. Private Sector Partnership h. Monitoring and Evaluation Chapter – 3 District Priorities as per the situations with respect to the State mandate. Chapter – 4 Family Planning Plan for the year 2011-12 a. Service Delivery b. Human Resource Development & Training c. Logistics and supply chain with requirement & distribution plan d. Communication Activities e. Private Sector Partnership f. Monitoring and Evaluation g. Any other (Innovations, Dist/Block/Sector specific) IEC, new plans etc. Chapter – 5 Resource Requirements KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 4 Executive Summary – Kalahandi district is situated in the southwestern portion of Orissa. Geographically this district lies between 19º 8’ N 20º 25’ N latitudes and 82 0 32 ’ E and 83 0 47’ E longitudes with geographical area of 7920 sq Km. The population of the Kalahandi district as per the 2011 census is 157305; the sex ratio is 1003 per one thousand male. It has 13 blocks, 273 Grampanchayats, 2236 Rev villages (including 137 uninhabited villages), 13 Tahsils, and 2 Subdivisions. It has 4 towns Bhawanipatna Municipality, Junagarh & Kesinga NAC and Dharamgarh. Out of 13 blocks two are Tribal blocks1-Biswanathpur 2.Thuamulrampur. The blocks like Thuamul Rampur,B.N.Pur,M.Rampur,Bhawaniptna are having most difficult and high focus areas.The District is aware to its infant & Child mortalities due to communicable diseases like malaria,ARI,dirrhoea etc. as experienced previous years. Experiencing in last couple of years, It has been observed that, the community of Kalahandi District is adopting only female sterilization operation. Decrease in progress of the sterilization,IUD,CC & OP in comparison to 2009-2010 due to short supply of CC & OP .There are 27 empanelled doctors in this year to conduct Sterilization operation, trained Para medical staff like LHV & ANMs to insert Cu T. It has been instructed to function fixed day static Centres in all the health institutions regularly, so that ELA for the year 2011-12 can be achieved. The Rogi Kalyan Samiti (RKS), Gaon Kalyan Samiti (GKS) members are to be sensitised and utilize their services to provide F.P. services like sterilization operation, Cu.T, cases, C.C. & OP distribution. Now all the transaction relating to family planning supplies are tracked & monitored through the Central store the persons of central store have under gone orientation training of logistic supply, management, documentation and maintenance of records which gives good result. This year plan is emphasizing to strengthen fixed day static centers for family planning with target to achieve 100% ELA in fixed day sessions in all L1,L2,L3 level .All empanelled doctors have been deployed to conduct the sterilization except Karlamunda,Jaipatna, Kalampur,Parla and Kaksara CHC. The M.O. I/C of these institutions have been instructed to fix regular camps and intimate to the district for KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 5 deployment of operating surgeons. The micro-plan in this regard have been finalized This year priority have been given to motivate NSV cases and arrange such camps to achieve the NSV target. A focus being given to popularize IUCD as a spacing method. The institution wise ELA for IUCD camps have been chalked out & trained IUCD inserters are instructed to insert the IUCD in the routine activities by motivating the beneficiaries. There is provision for incentives ASHA to motivate beneficiaries to retain IUCD and an amount of rs.100/- is earmarked per case. The IUCD training programme is planned in which HW(F) & LHV will be trained in 2 nd qr. Of 2011. It is proposed to conduct training programme on NSV,Minilap at Dist.Hqr and proposal have been given to the state to train two O & G specialist in Laparoscopy. Special attention will be given for wide publicity regarding regular functioning of FDS. Centre and wider publicity regarding the same among , ASHA, AWW along with the RKS & GKS members. The focus will be on spacing methods particularly IUCD Emphasis will be given on IUCD during population week & Family planning week. The review will be done institution wise regularly in District monthly meetings. The District level quality assurance committee will be held regularly and discussed about the achievements as well as various deficiencies & difficulties to carried out the F.P.activities. The empanelled doctors list will be updated in the QAC meeting regularly.. KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 6 Chapter I Background The District Kalahandi is spread over an area of 7920 Sq. Kms. The population of the Kalahandi district as per the 2011 census is 157305, the sex ratio is 1003 per one thousand male. and child sex ratio is 947/1000 male. According to the census 2011, the literacy rate of male is 73.34 & female is 47.27. Administratively the district is divided in to two subdivisions, namely Sadar Bhawanipatna & Dharamagarh. It has 13 blocks,273 Grampanchayats, 2236 Rev villages(includind 137un –inhabited villages),13 Tahsils, ,and 2 Subdivisions.It has 4 towns Bhawanipatna Muncipality,Junagarh& Kesinga NAC and Dharamgarh. Out of 13 blocks two are Tribal blocks1-Biswanathpur 2.Thuamulrampur. The blocks like Thuamul Rampur,B.N.Pur,M.Rampur,Bhawaniptna are having most difficult and high focus areas.The District is aware to its infant & Child mortalities due to communicable diseases likre malaria,ARI,dirrhoea etc. as experienced previous years. No.of district Hqr Hospital 1 No.of blocks 13 No.of subdivisional Hospital 1 No.of CHCs 13 No.of PHC (New) 39 Other Hospitals 1 No.of Mobile Health units 14 Total No.of subcentres 273 Out of 273 sub centres nearly 76 are in the most vulnerable and hard to reach area. KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 7 KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 8 Human Resource: Sanctioned Staff (Regular) Sl. No. Name of the Post Sanctioned In position 1 Asst. Surgeon 93 77 2 Staff Nurse 99 80 3 Pharmacist 78 75 3 MPHW(M) 178 176 4 MPHW(F) 282 267 5 MPHS(M) 59 55 6 MPHS(F)/LHV 45 35 7 L.T. 35 28 8 Radiographer 4 3 9 Specialists 83 36 10 ASHA 1613 1590 11 AWW 12 GKS 2040 2040 The above table clearly indicates that there are high vacancies in technical human resources. More ever the vacancies in rural areas are comparatively high. Contractual staff engaged under NRHM Sl Type of Personnel Sanctioned In position Vacant 1 DPM 1 1 0 2 DAM 1 1 0 3 DHIO 1 1 0 4 ASHA Coordinator 1 0 1 5 Hospital Manager 1 1 0 6 Staff Nurse 5 2 3 7 Additional ANM 80 75 5 8 LT 7 6 1 9 AYUSH doctor 51 40 11 10 Work Consultant (JE) 4 2 2 11 Immunization computer Asst 1 0 1 12 System In charge -cum -DEO 1 1 0 13 BPO 13 12 1 14 BPO at SDH 1 1 0 15 Block Account 13 13 0 20 Accountant at DHH/SDH 2 2 0 21 Accountant at AH 1 1 0 22 MCH Coordinator 1 1 0 23 Child Health Coordinator (NIPI) 0 0 0 24 Routine Immunization Coordinator 0 0 0 Yashoda Supervisors (NIPI) 0 0 25 0 26 YASHODA (NIPI) 6 6 0 27 MHU personnel 28 LT RNTCP 7 6 1 29 Pharmacist-Cum-Store Keeper 1 1 0 KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 9 Chapter II : Situational Analysis: In Kalahandi district only female sterilization operation is adopted by the community to limit the family. Family Planning performance in the Kalahandi in percentage GRAPH ON ORAL GRAPH ON STERILISATION OPERATION PERFORMANCE PILLS PE RFORMANCE GRAPH ON I.U.D. PERFORMANCE GRAPH ON CONTRA CEPTIVES PERFORMANCE KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011 -12 10 F.W. 2008-2009 2009-2010 2010-2011 2007-2008 Activities Target Ach. % Target Ach. % Target Ach. % Target Ach. % Sterilization 5197 5854 113% 5771 4675 81% 5817 5188 89% 5842 4814 82% IUD 3740 3745 100% 4231 2657 63% 4031 3202 80% 6526 3318 51% CC 6690 5639 84% 6747 4396 65% 6175 4434 72% 13085 4023 31% Oral Pill 5664 3225 92% 5702 4550 80% 5714 3842 67% 7707 4159 54% Institution wise Family Planning Performance of Kalahandi District per 1000 poipulation for the Year 2009-2010 on sterilisation,IUCD,CC & OP Sterilization IUCD OP CC Accep Accepto Accepto Accept tors Sl. Total Total rs Per Total rs Per Total ors Per Block Per No. Accep Accep 1000 Accep 1000 Accep 1000 1000 tors tors Populat tors Populat tors Popula Popul ion ion tion ation 1 B.N.Pur 331 3 212 2 285 3 340 3 2 Borda 361 4 261 3 162 2 553 6 3 Karlamunda 288 3 84 1 178 2 151 2 4 M.Rampur 201 2 230 2 160 2 118 1 5 Narla 434 4 425 4 350 4 564 6 6 Pastikudi 502 5 347 4 271 3 201 2 7 Th.Rampur 200 2 134 1 127 1 65 1 8 Junagarh 573 6 361 4 302 3 383 4 9 Chapuria 500 5 312 3 327 3 176 2 10 Jaipatna 279 3 282 3 254 3 154 2 11 Kalampur 240 2 27 1 146 1 151 2 12 Koksara 458 5 122 1 186 2 388 4 13 Parla 340 3 175 2 274 3 340 3 14 Bh.Patna PPC 213 2 48 1 561 6 510 5 15 Dh.garh PPC 160 2 97 1 180 2 258 3 16 Junagarh PPC 132 1 92 1 79 1 82 1 TOTAL 5212 52 3209 34 3842 41 4434 47 KALAHANDI DISTRICT FAMILY PLANNING PLAN 2011-12 11 Family Planning Performance of Kalahandi District for the Year 2010-2011 Sterilization IUCD OP CC Acce Accep Accept Accept ptors tors Sl.
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